Gender:
Female
Male
Which Best Describes Your Relationship? (Check One)
Over
Poor
Okay
Good
Great
What are the two top issues causing the most problems in your relationship:
#1:
communication problems
a lack of emotional support
issues around sex
a partner who doesn't listen
dealing with ex'es, steps and in-laws
issues around money
a loss of intimacy
dealing with jealousy
the romance being gone
a lack of commitment
#2:
communication problems
a lack of emotional support
issues around sex
a partner who doesn't listen
dealing with ex'es, steps and in-laws
issues around money
a loss of intimacy
dealing with jealousy
the romance being gone
a lack of commitment
What do you consider the top 3 qualities in a perfect relationship?
Choose a quality from the drop down menu below and then rate your current level of satisfaction with that quality in your relationship:
1 poor - 4 average - 7 great
#1
Safety
Compassion
Trust
Understanding
Open Communication
Honesty
Connection
Adventure
Fun
Emotional Intimacy
Harmony
Sex
Cooperation
Support
Listening
Appreciation
Touch
Spirituality
Affection
Romance
Faithfulness
Respect
Commitment
Foregiveness
1
2
3
4
5
6
7
#2
Safety
Compassion
Trust
Understanding
Open Communication
Honesty
Connection
Adventure
Fun
Emotional Intimacy
Harmony
Sex
Cooperation
Support
Listening
Appreciation
Touch
Spirituality
Affection
Romance
Faithfulness
Respect
Commitment
Foregiveness
1
2
3
4
5
6
7
#3
Safety
Compassion
Trust
Understanding
Open Communication
Honesty
Connection
Adventure
Fun
Emotional Intimacy
Harmony
Sex
Cooperation
Support
Listening
Appreciation
Touch
Spirituality
Affection
Romance
Faithfulness
Respect
Commitment
Foregiveness
1
2
3
4
5
6
7
The 3 skills that I consider most important in a relationship are:
#1:
Communication
Listening
Conflict Resolution
Clearing-up Misunderstandings
Talking About Tough Issues
Not Taking Things Personally
Dealing With Past Baggage
Raising Kids
Juggling Careers
Managing Money
Keeping The Sex Life Alive
Being Able To Ask For What You Want
#2:
Communication
Listening
Conflict Resolution
Clearing-up Misunderstandings
Talking About Tough Issues
Not Taking Things Personally
Dealing With Past Baggage
Raising Kids
Juggling Careers
Managing Money
Keeping The Sex Life Alive
Being Able To Ask For What You Want
#3:
Communication
Listening
Conflict Resolution
Clearing-up Misunderstandings
Talking About Tough Issues
Not Taking Things Personally
Dealing With Past Baggage
Raising Kids
Juggling Careers
Managing Money
Keeping The Sex Life Alive
Being Able To Ask For What You Want
My Relationship would be great if only...
What or who is preventing you from having your dream relationship right now?
Kids
Parents
In-laws
Your ex
Their ex
Step Kids
Friends
My Partner’s Skills
My Relationship Skills
Finances
Jealousy
If our training could do anything for your relationship, what would we do for you?
How pressing is your issue? I'd like to take care of it...
Today
This week
In a month
Sometime
How would you like us to help you?
Audio Recordings Played over the Computer (MP3s)
Live, Interactive Training Calls over the Telephone
Workshops in Person in Colorado
Personal 1-on-1 Coaching Calls over the Telephone
Immediately Download-able, Printable eBooks
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